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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750149
Report Date: 06/03/2025
Date Signed: 06/03/2025 12:09:41 PM

Document Has Been Signed on 06/03/2025 12:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ARK ACADEMYFACILITY NUMBER:
197750149
ADMINISTRATOR/
DIRECTOR:		VONDA PERRYFACILITY TYPE:
850
ADDRESS:1146 COMMERCE CENTER DRIVETELEPHONE:
(661) 504-4034
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: DATE:
06/03/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Rivka Jones, Licensee and Directors Vonda Perry and Africa JonesTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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An Informal Office Meeting was conducted on June 3, 2025, at 10:00 AM at the Palmdale Regional Office (PRO). Present during the meeting were Regional Manager, George Mingle, Licensing Program Manager (LPM) Mariela Ramon, Licensing Program Analysts (LPAs) Annelise Villa and Sherell Braddock, and Directors Vonda Perry and Africa Jones. Licensee Rivka Jones was present during the meeting via telephone.

The goal of this meeting is to address recent concerns with the Directors of the childcare center and to assist the Licensee to achieve and maintain facility compliance with Title 22 California Code of Regulations as it aligns with the mission of at the Department. During this Informal meeting, the Department addressed concerns with the operation of the facility.

During a recent interaction with the facility, facility staff were not fully cooperative with the Department in sharing requested information to assist with the complaint investigation. Facility staff failed to provide names of witnesses and video surveillance videos as requested. As a result, this office meeting is being held to discuss concerns and Title 22 regulations related to these issues. This office meeting is being conducted to present a training opportunity to Licensee and Directors.

Failure to provide access to surveillance footage, which is considered relevant evidence to the complaint, obstructs the licensing agency’s responsibility to determine if any violations occurred and compromises regulatory oversight.

Continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Annelise Villa
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ARK ACADEMY
FACILITY NUMBER: 197750149
VISIT DATE: 06/03/2025
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The licensing agency will continue to seek compliance and recommends that the director be reminded of their obligation under Title 22 Regulations to fully cooperate with all aspects of licensing evaluations and investigations. Continued non-compliance may escalate the matter to legal or administrative proceedings.

The applicable regulations were provided during this meeting:

  • Admission Procedures and Parental and Authorized Representative’s Rights
  • Accountability
  • Limitations on Capacity
  • Reporting Requirements
  • Admission Agreements

In response to these discussions, the licensee has agreed to the following:
  • Will cooperate with licensing investigations.
  • Will provide a safe and healthful environment.
  • The facility will ensure to report unusual incidents - Reporting Requirements
  • Will always comply with all applicable Title 22 regulations, including Title 22, Section 101200. Inspection Authority of the Department.
  • Parent Handbook will need to be modified to address termination procedures

During this office meeting, the following training videos were played for Directors:
  • Community Care Licensing Inspection Authority
  • Your Rights as a Child Care Licensee

The above training, as well as other child care provider videos, can be accessed at: https://ccld.childcarevideos.org

The licensee confirmed understanding of these requirements and had no further questions. An exit interview was conducted, and a copy of this report was read, printed, and emailed to the licensee.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Annelise Villa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC809 (FAS) - (06/04)
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